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Published on: February 19, 2021
Specifying and comparing implementation strategies across seven large implementation interventions: a practical
Cynthia K Perry1, Laura J Damschroder2,3, Jennifer R Hemler4
1School of Nursing, Oregon Health & Science University, 3455 SW US Veterans Hospital Rd, Portland, OR, 97239, USA. perryci@ohsu.edu.
This study tested the Expert Recommendations for Implementing Change (ERIC) taxonomy in a large cardiac prevention initiative. Findings suggest revisions and functional groupings for better application of implementation strategies in practice.
Area of Science:
- Implementation Science
- Healthcare Quality Improvement
- Public Health Interventions
Background:
- Translating research into clinical practice requires active implementation strategies.
- The Expert Recommendations for Implementing Change (ERIC) provides a taxonomy of discrete implementation strategies.
- This study evaluates the ERIC taxonomy's applicability in a large-scale initiative to implement cardiac prevention in primary care.
Purpose of the Study:
- To test the application of the ERIC taxonomy in a real-world dissemination and implementation initiative.
- To identify necessary revisions and potential additions to the ERIC taxonomy based on empirical data.
- To explore functional groupings of implementation strategies for practical use in scale-up efforts.
Main Methods:
- Utilized data from the EvidenceNOW initiative, involving seven regional cooperatives in the USA.
- Applied the ERIC taxonomy to identify and specify implementation strategies used by cooperatives.
- Mapped and compiled a matrix of specified ERIC strategies, resolving differences through consensus.
- Grouped implementation strategies by outcomes and justifications to understand their linkages.
Main Results:
- Thirty-three ERIC strategies were identified as utilized by the cooperatives.
- Proposed revisions to four ERIC strategy names and 12 definitions for improved practical application.
- Suggested adding three new strategies to the ERIC taxonomy to capture distinct actions.
- Organized ERIC strategies into four functional groupings reflecting observed practice-based application and interconnectedness.
Conclusions:
- The study findings support revisions to the ERIC implementation strategies to better align with real-world dissemination and implementation.
- The proposed functional groupings of ERIC strategies can guide practitioners in selecting and linking strategies for various scales of implementation efforts.
- Refined ERIC strategies and functional groupings enhance the practical utility of implementation science frameworks.
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